2 COMMON MISTAKES WITH ACETAMINOPHEN
- 09 March 2021 12:54:47
- Views: 1435
Many patients will take acetaminophen for their pain management. It is cheap, somewhat effective, and typically pretty safe at normal dosages. There are potential downsides when it comes to acetaminophen. Let me outline a couple of common mistakes with acetaminophen.
#1 COMMON MISTAKES WITH ACETAMINOPHEN – MULTIPLE SOURCES
Many elderly patients do understand that acetaminophen is likely going to be a safer medication than NSAIDs or opioids. While this isn’t always the case, it is true in most circumstances. From a safety perspective, the biggest challenge I have run into is patient education of all medication products. Here’s a scenario.
A 76-year-old female has a history of osteoarthritis, femur fracture about 2 months ago, and is now experiencing symptoms relating to influenza. She has been maintained on acetaminophen 650 mg four times daily but has been having increased pain of late. She has some leftover hydrocodone/acetaminophen that she is taking to help with the overall achiness. In addition, she is also taking a severe cough and cold product. This patient ends up taking well over 4,000 mg and puts herself at a much greater risk for liver complications.
Patients often don’t recognize how many medication products that acetaminophen is in. It is our job as healthcare professionals to be aware of those patients who are already on a relatively high maintenance dose and caution them about adding other medications that may contain more acetaminophen.
#2 DEFINING TREATMENT FAILURE
The second challenge I often encounter with acetaminophen is understanding treatment failure for our patients. Many patients will tell me that they do not receive benefits from taking acetaminophen. While this can be true in many situations, it can also be true that patients may have underdosed themselves. Just think if we started a patient on lisinopril 2.5 mg daily and we labeled it treatment failure because it didn’t bring down their blood pressure to goal. There would be A LOT of patients “failing” lisinopril.
In the same respect, I have seen numerous patients take a tablet or two (325 mg to 650 mg once or twice throughout the day and then tell me that the medication was not effective. It is critical to get the full details of the “treatment failure”. If you believe they were likely underdosed, it would help increase the number of tools in our toolbox if you could convince them to retry with a higher, appropriate dose.
These two common mistakes with acetaminophen can have a significant impact on our patients.
Buyers Online
- Customer from Midlothian placed a new order for STIMULOTON 50MG 30 PILLS — MADE IN HUNGARY — FREE SHIPPING
- Customer from Midlothian logged in
- Customer from Cleveland logged in
- Customer from Montreal logged in
- Customer from Hopwood registered for an account
- Customer placed a new order for Estramon 50, transdermal patch 50 mcg/day, 6pcs — Made in Germany — Free Delivery
- Customer from Gloucester placed a new order for WAX Pilomax Tricho, strengthening shampoo against hair loss, 200 ml — Made in Poland — Free Delivery and 2 more products
- Customer from Gloucester registered for an account
- Customer from Cary placed a new order for INFECTVAGIN VAGINAL GLOBULES 10 PIECES — MADE IN POLAND — FREE SHIPPING
- Customer from Cary logged in
- Customer from Guyton placed a new order for Paroxin 20mg 60 tablets — Made in Ukraine — Free Delivery
- Customer from Guyton logged in
- Customer from Montreal placed a new order for 4 x ESSENTIALE FORTE 50 CAPS - MADE IN POLAND - FREE SHIPPING and 1 more product
- Customer placed a new order for Combispasm 100 tablets — Made in India — Free Delivery
- Customer from Montreal registered for an account
- Customer from Philadelphia placed a new order for L-Thyroxin 100 Berlin-Chemie 2p x 50 tablets — Made in Germany — Free Delivery
- Customer from Philadelphia registered for an account
- Customer from Aurora placed a new order for Mamalak oral drops 15 ml — Made in Italy — Free Delivery
- Customer from Aurora registered for an account
- Customer from Vaals logged in
Bestsellers
Featured